Household Water Filters as part of the Kitchen Improvement Project (Cocinas Rurales) PROMESA – Proecto para el Mejoramiento de la Salud Valle de Yeguare, Honduras, Central América An investigative paper by Efrén Gutierrez August 2004 E. Gutierrez is a second year medical student at Harvard Medical School, Boston, MA, USA. The work for this paper was part of his rotation in Honduras with PROMESA, under the supervision of Linda Johanna Stern, MPH, Director of PROMESA. PROMESA is an international health project operating in Honduras providing primary health care, training and service learning. PROMESA is affiliated with Brigham and Women’s Hospital and Zamorano College. Introduction PROMESA is a small international health program that has been working to improve the conditions in the Yeguare region of Honduras for the past four years. Currently PROMESA is working on a kitchen improvement project in four small communities (La Ciénega, Las Tablas, Las Agujas, and Rodeo) in the region. This project’s focus is to improve the health status of the families by improving the health standards in the kitchen by offering materials to improve earth stoves, install drains, sinks, install mesh on windows, and install concrete floors. One improvement that was offered to the families in the communities was a household size water filtration system to purify contaminated water. There are a variety of filtration systems; however, it was necessary to find an inexpensive, functional, and long lasting system. One filter that met those requirements was the Filtron. The Filtron is a ceramic filter that is marketed by Potters for Peace and is one method to decontaminate water that is used for human consumption. The filter works in two ways: as a filter to remove large contaminants such as protozoa, helminthes, etc., and as a disinfectant by using colloidal silver to clean the water of potentially harmful bacteria. The silver is spread on the sides and bottom of the filter. Water passes through the pores that are formed in the manufacturing process. When the water passes through these pores it comes in contact with the colloidal silver, which acts as a bactericide. The filter is an alternative to chlorination, boiling, or using solar energy to decontaminate water (1). Colloidal silver and function Silver is a natural metal element that is mined as an ore and can be extracted to form a pure element. Colloidal silver is a solution where small amounts of silver are suspended in a liquid, usually water. The colloidal silver solution used in the Filtron is 0.32% (32,000 ppm) silver Microdyn, a solution of silver dissolved in protein. At high silver concentrations, a silver colloid solution with water is unstable; therefore a protein solution is required (1). Silver has always been used as a disinfectant, and before the introduction of antibiotics, was given to treat bacterial infections (2, 3). There are three mechanisms by which silver functions as a disinfectant: reactions with thiol (-SH) groups in bacterial cells, changes to bacterial cell wall, and inhibiting interactions with nucleic acids. Silver reacts with the thiol groups found in most bacteria while not interacting with thiol groups in humans. Various bacterial enzymes use thiol groups and are subsequently inactivated by such reactions (4). Silver also binds to the bacterial cell wall (5). As it binds, the cell wall becomes unstable, and the bacteria die. Finally, silver can bind to DNA (the genetic code for the bacteria) causing structural changes that halt the DNA replication process. Almost all gastrointestinal bacteria which cause some form of disease are killed by contact with colloidal silver. (1) 1 The colloidal silver is brushed on the sides as well as the bottom of the ceramic filter. In testing the filter it was discovered that the majority of the filtered water went through the sides of the filter. Silver is also brushed on both the inside and the outside of the filter. Some of the silver brushed on the outside seeps into the collection container. The silver that is within the collection container is necessary to complete the purification process, by having the silver continue to be in contact with the water (1). Argyria Argyria is a condition where the body has been exposed to an excessive amount of silver. The characteristic feature is the permanent bluish-gray discoloration of the skin which is benign (1, 6). Silver is absorbed into the skin and may deposit there causing plaques. Usually argyria begins in the eyes and extremities but then begins to encompass the whole body. The World Health Organization (WHO) has set the limit of silver exposure to 10 grams per lifetime (~70 years). The initial disinfected water does have moderate levels of silver as high as 60μg/L; however these concentrations are below the maximum acceptable concentration of 100μg/L. In addition, the silver concentration in the filtered water rapidly decreases after time to levels at 15μg/L. Potters for Peace recommends discarding the initial filtered water due to its metallic taste. Developing argyria from use of the Filtron is not likely (1). Other Contaminants The filter has been tested with other contaminants such as protozoa, viruses, and arsenic. Helminthes, protozoa and viruses were tested since they have been associated with gastrointestinal disease. The elimination of protozoa specifically Giardia lamblia and Crytosporidium parvum were tested with one filter due to expense of the testing. It was noted that a reduction of Giardia and Crytosporidium was 99.994% and 99.997% respectively. Since the pores of the filter range from 0.6-3.0 microns, most Giardia (5-7 microns) and Cryptosporidium (~5 microns) will not pass through (1). Viruses are much smaller that 3 microns, therefore one test showed that there was no reduction in number of viruses. Currently there is no role of colloidal silver in deactivating viruses (1). Arsenic has also been tested due to the interest of people living in Bangladesh where the water is polluted with arsenic. It was found that approximately 90% of the arsenic was removed; however this was not enough to prevent arsenic poisoning. No other chemical compounds have yet been tested (1). 2 Maintenance of the filter In order to maintain the filter, it must be cleaned whenever the rate of filtration drops. If the filter takes longer than one hour to filter a liter of water, the rate of filtration is too slow for use. This rate is the minimum allowable flow rate during the manufacturing of the filter. When it does drop, it means that the filter is clogged and therefore needs to be scrubbed with a brush. The recommended cleaning method is: 1) Make sure the clay filter is empty of water 2) Wash hands with soap 3) Remove the clay filter and place on a plate that has been washed with filtered water. 4) Use clean filtered water to wash the filter. Do not add soap! 5) Scrub the filter both on the inside and outside with a stiff laundry brush to remove any debris 6) Rise with filtered water until water is clear Note: Do not use highly concentrated chlorinated water because concentrated chloride erodes the silver from the filter. The filtering unit has been found to be functional even after seven years of use. This indicates that the colloidal silver never “wears out”. However, as a safety precaution, Potters for Peace recommends either replacing the filter or reapplying colloidal silver every year (7). The collecting receptacle should be cleaned once a month to prevent contamination of the filter. The following are the recommendations for cleaning the receptacle: 1) Wash hands with soap and filtered water. 2) Remove the clay filtering unit and place on a washed plate. 3) Fill the receptacle one quarter full with water and add two tablespoons of chlorine bleach. 4) Leave for thirty minutes to disinfect the receptacle. 5) Use this water to wash all of the receptacle and lid with a brush or cloth. 6) If no bleach is available, use soap and filtered water. 7) Rinse the receptacle with boiled or filtered water. 8) Place the clay filter back in receptacle and place the lid on top. 3 Concerns regarding the filter Evaluations of the filter have been conducted in the field that showed a variety of concerns regarding the management and use of the filters. Certain aspects of the filter can be problematic; however the studies offer some suggestions. One study showed that when organizations returned to the communities after distributing the filter and providing education regarding its maintenance, about half of the filters were broken. A broken filter should not be used since large cracks may allow bacteria to pass through. To test whether a filter is broken, one can check the timbre of the filter by hitting it lightly with the knuckles. Changes in timbre can identify internal cracks that are invisible to the naked eye. Another identified problem had to do with the faucets. Faucets from the collecting bins were found to be broken due to misuse. Repairing faucets is difficult since certain communities may not have access to them. The evaluation studies recommended buying replacement faucets for the community and educating them on how to replace the faucets. For more information about the filter, feel free to contact the following people: PROMESA Linda Johanna Stern Zamorano Desarrollo y Ambiente Apdo. 93 Tegucigalpa, Honduras (504) 776-6140 x2608 ljstern@partners.org Potters for Peace P.O. Box 1043 Bisbee, AZ 85603 (520) 432-4616 www.potpaz.org Honduras Maximo Andrew (504) 968-0605 Neighbor (504) 768-3181 km 43 on the road to Choluteca Honduras Nicaragua Ron Rivera Potters for Peace Altamira D’Este No. 152 de la Vicky 1c. al lago, 1c arriba Managua, Nicaragua (505) 278-8519 filtron2002@yahoo.com.mx; coofice@ibw.com.ni Ron Rivera: kamaron@ibw.com.ni 4 References 1. Lantagne, Daniele (2001a). Investigation of the Potters for Peace Colloidal Silver Impregnated Ceramic Filter, Report 1: Field Investigations. Alethia Environmental. 2. Basu, S.K, S.R. Deb, and P.S. Aggarwal (1982). Use of Porous Ceramics In Purification of Water. Glass and Ceramic Bulletin. April-June Volume 29, No. 2. 3. Russell, A.D. and W.B. Hugo (1994). Antimicrobial Activity and Action of Silver. Progress in Medicinal Chemistry. Volume 31. 4. Berger, T.J, J.A. Spadaro, S.E. Chapin, and R.O. Becker (1976). Electrically Generated Silver Ions: Quantitative Effects on Bacterial and Mammalian Cells. Antimicrobial Agents and Chemotherapy. Volume 9, Number 2. 5. Hugo, W.B. (1971). Inhibition and Destruction of the Microbial Cell. Academic Press, London, New York. 6. (USEPA) United States Environmental Protection Agency (1996). Integrated Risk Information System: Silver. http://www.epa.gov/IRIS/subst/0099.html. Accessed 19-8-01. 7 ICAITI (Central American Research Institute of Industrial Technology) (1984). Identification and Evaluation of Design Alternatives for a Low Cost Domestic Filter for Drinking Water. 5